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Organization

HORMONE HEALTH AND WEIGHT LOSS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ERIC SCOTT CHASTAIN (OWNER)
(850) 462-9561
Entity
Organization

Contact information

Practice address
6202 N 9TH AVE, SUITE 4, PENSACOLA, FL 32504-8293
(850) 462-9561
(850) 462-9560
Mailing address
6202 N 9TH AVE, SUITE 4, PENSACOLA, FL 32504-8293
(850) 462-9561
(850) 462-9560

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
AL

Other

Enumeration date
10/23/2013
Last updated
03/26/2015
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